Tennessee Pet Scan Center, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TENNESSEE PET SCAN CENTER, LLC

Practice address

1840 Medical Center Pkwy
Suite 100
Murfreesboro, TN 37129-2564

Phone

(615) 890-5858

NPI assigned

Jan 31, 2007

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron Horowitz

Title

Coo

Phone

(615) 986-4102

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tennessee Oncology PLLC

  • Hematology & Oncology Physician
  • Gallatin, TN
  • NPI 1124086939

  Member Of

  NPD member

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Campbell Luschen, MD

  • Vascular & Interventional Radiology Physician
  • Nashville, TN
  • NPI 1407830102

  Diagnostic Radiology

  Medicare reassignment NPD
• Steven Brian Bush, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1932148244
  NPD
• Eric Arthur Dame, MD

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1902833940
  NPD
• Eric Brent Green, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1184646929
  NPD
• Scotty Jack Haynes, MD

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1619171709
  NPD
• Josh M Heck, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1962636068
  NPD
• Richard W Johnson, MD

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1326144536
  NPD
• Colby Jordan Jones, DO

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861913790
  NPD
• Marynelle J Klumpe, MD

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1932205150
  NPD
• Raymond Ian McDermott, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1326570896
  NPD
• Paul G Menke, MD

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1285730416
  NPD
• Ann B Owen, MD

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1134225089
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1770620759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440025",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440025",
            "telephone_number": "615-890-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292564",
            "telephone_number": "615-890-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE PET SCAN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-986-4102"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3791187",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee Orthopaedic Alliance PA
• Tennessee Orthopaedic Alliance PA (Tennessee Orthopaedic Alliance)
• Tennessee Orthopaedic Alliance PA
• Tennessee Orthopaedic Alliance PA
• Tennessee Orthopaedic Alliance PA
• Tennessee Sleep Apnea Solutions, PLLC
• Tennessee Sleep Solutions LLC (Oral Health Management)
• Tennessee Sports Medicine, PC
• Tennessee State Veterans Home Board
• Tennessee Valley Health Care System

• Diagnostic Radiology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.